Long arm posterior splint
Background
- Doesn’t completely eliminate supination / pronation
- Either add an anterior splint or use a double sugar tong splint if complex or unstable distal forearm fracture
Indications
- Elbow and forearm injuries
- Distal humerus fracture
- Both-bone forearm fracture
- Unstable proximal radius or ulna fracture (sugar-tong better)
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown, along posterior/ulnar aspect of arm
- Splint should run from proximal palmar crease along ulna, on posterior side of a 90 degree flexed elbow, until 3 inches away from axilla [1]
- Wrist should be placed in slight extension (approximately 20°)
- Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
- Reassess distal pulse, motor, and sensation
See Also
References
- Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017
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